| NPI | 1558454637 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: NY 306103) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: CA G89424) |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2023-02-23 |